NPI | 1144607169 |
---|---|
Former Legal Business Name | OZAUKEE COMMUNITY THERAPIES LLC |
Entity Type | Organization |
Authorized Contact | ERIN CADD PEREZ Clinic Director 262-233-1818 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WI 5058) |
Enumeration Date | 2015-04-28 |
Last Update Date | 2023-11-16 |